Demographics
DOB: Mar 6, 1978
Sex: M
Status: inactive
Email: licasorincrivceag@gmail.com
Mobile: 9717187947
Home: 9717187947
Department: WEST SALEM
Primary Provider: —
Last Synced: May 28, 2026, 7:42 PM
Address: 1880 Westchester Ct NW, SALEM, OR, 97304
Allergy (1)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Allergy | — | — |
Problem (5)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Problem | Oct 2, 2024 | — | |
| Problem | Oct 2, 2024 | — | |
| Problem | Oct 2, 2024 | — | |
| Problem | Oct 2, 2024 | — | |
| Problem | Oct 2, 2024 | — |
Vital (8)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Vital | Oct 16, 2024 | — | |
| Vital | Oct 16, 2024 | — | |
| Vital | Oct 16, 2024 | — | |
| Vital | Dec 12, 2024 | — | |
| Vital | Oct 16, 2024 | — | |
| Vital | Oct 16, 2024 | — | |
| Vital | Oct 16, 2024 | — | |
| Vital | Oct 16, 2024 | — |
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